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Pediatric Traumatic Pneumorrhachis: Case Report.
Emre Bilgin1, Ali İhsan Ökten2, Gökhan Çavuş2
1Department of Neurosurgery, Adana City Training and Research Hospital, Adana, Turkey, dremreblgn@gmail.com.
Pediatric Neurosurgery
|February 8, 2019
Summary
Pneumorrhachis, or air in the spinal canal, is rare in children, especially from trauma. This case highlights a 16-year-old with pneumorrhachis after a knife injury, emphasizing diagnostic imaging importance.
Area of Science:
- Neurology
- Radiology
- Pediatric Medicine
Background:
- Pneumorrhachis is defined as the presence of air within the spinal canal.
- It can be classified as extradural (epidural) or intradural (subdural or subarachnoid) based on location.
- Causes include nontraumatic, traumatic, and iatrogenic factors.
Observation:
- This article discusses a rare case of traumatic pneumorrhachis in a 16-year-old male.
- The patient sustained an injury from a penetrating and cutting (knife) tool.
- Air formation within the spinal canal was detected following the injury.
Findings:
- Traumatic pneumorrhachis is exceptionally rare in the pediatric population.
- While often associated with severe polytrauma, it can occur after minor injuries.
- Radiologic imaging is crucial for accurate diagnosis and detection.
Implications:
- This case underscores the importance of considering pneumorrhachis in pediatric patients with spinal trauma, even from seemingly minor incidents.
- Prompt and accurate radiologic assessment is vital to avoid missing this rare condition.
- Understanding the diverse causes and presentations of pneumorrhachis aids in appropriate clinical management.
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